Billing code 27268: Femoral head fractureMedicare rate & RVUs in Florida
Reports closed treatment of a femoral head fracture when the physician manipulates the fracture, with or without skeletal traction.
CMS doesn’t publish an office rate for 27268 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 27268 covers
An orthopedic surgeon typically performs this closed treatment in a hospital or surgical facility, often under anesthesia. The physician manipulates the femoral head fracture without surgically exposing it; skeletal traction may also be used. Femoral head fractures can occur with hip dislocation, but this service addresses the fracture rather than the dislocation itself.
Select this code when documentation supports a femoral head fracture and manipulation as part of its treatment. The record should identify the fracture site and describe the reduction or other manipulation performed; imaging and documentation of traction, if used, can support the service. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 indicates bilateral treatment, paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 27268 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $559.11 |
| Miami | Unavailable | $601.11 |
| Rest Of Florida | Unavailable | $530.71 |
How the 27268 rate is calculated
Each of 27268’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 27268
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.94Practice expense 7.05Malpractice 1.47
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27268
27268 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27268
Femoral head fracture
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27268
Femoral head fracture
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27268 without 50 · national facility
$516.38
Femoral head fracture
27268-50 · Bilateral: 150%
$774.57
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
27268 compared with similar codes
Compare codes
27268 vs 27267 vs 27269 vs 27252: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27267Fracture treatment
- Both describe closed treatment of a femoral head fracture. Choose 27268 when manipulation is performed; choose 27267 when it is not.
- 27269Femoral fracture repair
- This code describes open treatment of a femoral head fracture. Use 27268 for closed treatment with manipulation.
- 27252Hip reduction
- This code addresses closed treatment of a hip dislocation requiring anesthesia, not manipulation of a femoral head fracture. Identify which injury the documented service treats.
27268 billing questions
How does this differ from 27267?
Use 27268 when the physician manipulates the femoral head fracture. Code 27267 describes closed treatment without manipulation.
When is 27269 more appropriate?
Use 27269 for open treatment of a femoral head fracture. Code 27268 describes closed treatment with manipulation, without surgically exposing the fracture.
Does this code cover reduction of an associated hip dislocation?
The code describes treatment of the femoral head fracture, not the hip dislocation. If a dislocation is also treated, document that service separately and determine the appropriate reporting under applicable coding rules.
What documentation supports reporting 27268?
Document the femoral head fracture and the manipulation performed to treat it. Note skeletal traction when used, along with relevant imaging and treatment details.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can modifier 50 or an assistant-at-surgery claim apply?
CMS treats this as a bilateral procedure when modifier 50 is reported, with payment at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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